Return Form

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Send Your Request to us at: BreakoutBras Bras Breakout

Toll Free Customer Service 1-866-870-8911

565 Road 621Woodruff Haywood Rd. Greenville, 29607 Greenville,SC SC 29607

Return Form Items You are Returning & Why If you are exchanging, please fill out the return form detailing the item(s) being returned and the size, color and style number of the item(s) you wish to have in exchange. Any price difference will be charged/credited to the original form of payment when the exchange ships. The exchange will be sent to you free of any additional shipping charge. If you are returning something for a refund, please fill out the return form. We will apply a credit to your credit card or original method of payment.

Items Returning Qty

Style #

Reason Codes: CTS = Cups Too Small CTB = Cups Too Big BTS = Band Too Small BTB = Band Too Big

List Items You Need In Exchange QTY

STYLE #

Size

Reason Codes For Return/Exchange CTS CTB BTS BTB DLC DLS

Color

DLC = Didn’t Like Color DLS = Didn’t Like Style DLF = Didn’t Like Fabric OPE = Other – Please Explain __________________________ __________________________ __________________________

*ONLY FILL OUT THE SECTION BELOW IF YOU ARE EXCHANGING – LEAVE BLANK IF YOU ARE REQUESTING A REFUND. SIZE

COLOR

DLF OPE

Contact Information (REQUIRED) Name: ___________________________ Order #: ___________________________ Phone#: ___________________________ E-mail: ____________________________ WEB PRICE

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